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General NPI Number Information
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NPI Number | 1033600481
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Entity Type | Organization
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Legal Business Name | HOSPITAL SPECIALIST 4 KIDS PLLC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 1250 HUNT ST APT 1512
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City | RICHARDSON
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State | TX
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Zip | 75082
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Country | US
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Telephone | 214-717-9040
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Fax |
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Provider Business Mailing Address
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Address Line | 2660 N HASKELL AVE APT 3176
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City | DALLAS
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State | TX
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Zip | 75204-2972
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | AHMAD ABO KAYASS
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Credential | MD
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Telephone | 214-717-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M9768
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License Number State | TX
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